Douglas M Leppink, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

062943 Issued in MI

Practice address

2060 E Paris Ave SE
Ste 150
Grand Rapids, MI 49546-6502

Phone

(616) 454-1256

Fax

(616) 454-0308

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1306901368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 E PARIS AVE SE",
            "address_2": "STE 150",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466502",
            "telephone_number": "616-454-1256",
            "fax_number": "616-454-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 E PARIS AVE SE",
            "address_2": "STE 150",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466502",
            "telephone_number": "616-454-1256",
            "fax_number": "616-454-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPPINK",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "062943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Joyce Leonhardt, CTRS
• Beau Patrick Lepage
• Jennifer Lepard
• Aaron Douglas Lepoire, PHARMD
• Karen Lawrence Leppek
• Cody Lerash, DDS
• Geralyn Marie Lerg, MS RN CPTC
• Lisa Lerond, PA-C
• James Lesar
• Sophie Leslie, MS, RDN

• Plastic Surgery Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.